The paper discusses the challenges and advancements in quantifying landslide risk and risk zonation, particularly at medium scales (1:10,000–1:50,000). While quantitative risk assessment has made significant progress in geotechnical engineering and linear feature evaluations, generating detailed risk zonation maps for regulatory and development planning remains a significant challenge. The review highlights several difficulties, including the creation of landslide inventory maps with information on date, type, and volume, determining spatial and temporal probabilities, modeling runout, and assessing vulnerability. Recent developments in probabilistic and deterministic modeling, the use of detailed topographic data, and the integration of land use and climate change scenarios are discussed. The paper concludes with a discussion on future advances and challenges, emphasizing the need for more comprehensive and accurate data and modeling techniques.The paper discusses the challenges and advancements in quantifying landslide risk and risk zonation, particularly at medium scales (1:10,000–1:50,000). While quantitative risk assessment has made significant progress in geotechnical engineering and linear feature evaluations, generating detailed risk zonation maps for regulatory and development planning remains a significant challenge. The review highlights several difficulties, including the creation of landslide inventory maps with information on date, type, and volume, determining spatial and temporal probabilities, modeling runout, and assessing vulnerability. Recent developments in probabilistic and deterministic modeling, the use of detailed topographic data, and the integration of land use and climate change scenarios are discussed. The paper concludes with a discussion on future advances and challenges, emphasizing the need for more comprehensive and accurate data and modeling techniques.